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ORIGINAL RESEARCH article

Front. Cardiovasc. Med.
Sec. Structural Interventional Cardiology
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1550693

Percutaneous Atrial Septal Defect Closure in Limited-Resource Setting: A Decade-Long Experience from Ethiopia

Provisionally accepted
Mohamed Nasir Mohamed Nasir 1Kefelegn Dejene Kefelegn Dejene 2Mohammed Bedru Mohammed Bedru 2Sura Markos Sura Markos 3,4*
  • 1 Pediatrics and Child Health Department, Hawassa University, Hawassa, Ethiopia
  • 2 Cardiac Center-Ethiopia, Addis Ababa, Ethiopia
  • 3 Internal Medicine Department, Division of Cardiology, Hawassa University College of medicine & Health Sciences, Hawassa, Ethiopia
  • 4 Internal Medicine Department, Division of Cardiology, Hawassa University, Hawassa, Ethiopia

The final, formatted version of the article will be published soon.

    artery systolic pressure than those in Group 1 (p value<0.001). Overall, 88.9% of patients attained immediate success; there was no statistically significant difference between the two groups in immediate success rate (p = 0.52; Group 1 85.7% versus Group 2 91.2%).Overall, patients' median length of hospital stay was 2 days (IQR, 2-2.5 days). There was no statistically significant difference between the two groups' median hospital stays ( Group 1: 2 (IQR, 2-2.5) andGroup 2: 2.5 (IQR 2-2.5); P value = 0.111). 23.2% of patients experienced complications, with no significant difference between the two groups (Group 1 28.6% and Group 2 19.3%, p = 0.28). The most common complications for patients in Groups 1 and 2 were atrioventricular (AV) valve encroachment (4.8) and paroxysmal supraventricular tachycardia (SVT) (5.3%), respectively. The major complication rates in the two groups did not show a statistically significant difference. Group 1 had a rate of 4.8%, whereas Group 2 had a rate of 0% (p-value = 0.18). The length of stays significantly increased in both groups in the presence of complications (p-value < 0.001).This study emphasized that Percutaneous Closure of ASD can be successfully performed in resource-limited settings with a high immediate success rate and minimal complications such as AV valve encroachment and paroxysmal SVT. Given that complications impact length of hospital stays, preventing them is crucial.

    Keywords: ASD, Secundum, Percutaneous closure, Immediate outcome, In-hospital outcome, complications

    Received: 23 Dec 2024; Accepted: 31 Jan 2025.

    Copyright: © 2025 Nasir, Dejene, Bedru and Markos. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Sura Markos, Internal Medicine Department, Division of Cardiology, Hawassa University College of medicine & Health Sciences, Hawassa, Ethiopia

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.